Question: A few months ago, I was laid off from my job and haven’t been able to find work yet. It’s been a really hard time for me and my family and I’m feeling really depressed because of the whole situation. I want to get some help, but when I started looking around I heard a lot of different terms like psychiatrist, social worker, psychologist and I don’t know which one could help me best. – Bill H., Glendale, NY
Answer: I’m sorry to hear about your difficult situation and I hope you are able to find work soon; however I am glad that you recognized the need for help and that you are actively seeking it. That is a courageous and admirable step.
Psychiatrists, psychologists, and social workers each have a unique skill set and therefore are best suited for particular kinds of mental health care services. Psychiatrists are medical doctors with a specialty in “psychiatry” or the treatment of mental illness. Most psychiatrists mainly prescribe psychoactive medication like antidepressants or anti-anxiety medication. They usually do not do psychotherapy. Psychologists provide psychotherapy and are also experts in psychological testing. In the vast majority of the U.S. they cannot prescribe medication because they do not have any medical training. Social workers provide psychotherapy and do not do psychological testing or medication prescription.
So, depending on what you need (medication, therapy etc.), you would see the appropriate professional. I recommend starting with a social worker or psychologist and asking them to evaluate you and help you determine which kind(s) of help would be best for you. Best of luck.
Mental Health Insurance Parity
Question: My son has been having anxiety attacks about once a week for a few months already. However, my insurance has very bad coverage for mental health and I can’t really afford it. I heard something about health care reform changing mental health insurance. Is it true? And if so, how can I take advantage of it? – Susan M., Flushing
Answer: A challenging situation, but I strongly encourage you to take your son in for treatment. Most clinics have a sliding scale based on income etc. and although it may still be very difficult, the other option could have long-term effects especially on a child.
As part of health care reform, “mental health parity” laws were passed. They require that any PRIVATE insurance provider give the same level of coverage to mental healthcare that they do for physical healthcare; however this law has just begun to be implemented and does not apply to any public insurance provider such as Medicare or Medicaid.
In New York State, a similar law was passed in 2006 called “Timothy’s Law”. It mandates employers to provide specific minimum levels of coverage for mental healthcare. The details of the law are beyond the scope of this column, however you can learn more about it at www.timothyslaw.org.
Jacob Berelowitz, LMSW is host and executive director of Talk Therapy Television. He can be reached at jacob@talktherapytv.org.
